Evidence map›Paper›PMID 32337633›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

Differential diagnosis of parkinsonian syndromes: a comparison of clinical and automated - metabolic brain patterns' based approach.

Tomaž Rus, Petra Tomše, Luka Jensterle, Marko Grmek, Zvezdan Pirtošek, David Eidelberg, Chris Tang, Maja Trošt

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Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Functional Brain Networks to Evaluate Treatment Responses in Parkinson's Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
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  16. Stereotyped Relationship Between Motor and Cognitive Metabolic Networks in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tomaž RusDepartment of Neurology, UMC Ljubljana, Zaloška cesta 2, 1000, Ljubljana, Slovenia. tomaz.rus@kclj.si.
Petra TomšeDepartment of Nuclear Medicine, UMC Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.
Luka JensterleDepartment of Nuclear Medicine, UMC Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.
Marko GrmekDepartment of Nuclear Medicine, UMC Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.
Zvezdan PirtošekDepartment of Neurology, UMC Ljubljana, Zaloška cesta 2, 1000, Ljubljana, Slovenia.
David EidelbergCenter for Neurosciences, The Feinstein Institute for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.
Chris TangCenter for Neurosciences, The Feinstein Institute for Medical Research, 350 Community Drive, Manhasset, NY, 11030, USA.
Maja TroštDepartment of Neurology, UMC Ljubljana, Zaloška cesta 2, 1000, Ljubljana, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDifferentiation among parkinsonian syndromes may be clinically challenging, especially at early disease stages. In this study, we used

methodsOne hundred thirty-seven parkinsonian patients with uncertain clinical diagnosis underwent

resultsImage-based automated classification of cohort A resulted in 86.0% sensitivity, 92.3% specificity, 97.4% positive predictive value (PPV), and 66.7% negative predictive value (NPV) for PD, and 84.6% sensitivity, 97.7% specificity, 91.7% PPV, and 95.5% NPV for APS. In cohort B, general neurologists achieved 94.7% sensitivity, 83.3% specificity, 81.8% PPV, and 95.2% NPV for PD, while 88.2%, 76.9%, 71.4%, and 90.9% for APS.

conclusionThe image-based algorithm had a high specificity and the predictive values in classifying patients before a final clinical diagnosis was reached by a specialist. Our data suggest that it may improve the diagnostic accuracy by 10-15% in PD and 20% in APS when a movement disorder specialist is not easily available.

Indexed as

Parkinsonian DisordersSupranuclear Palsy, ProgressiveBrainDiagnosis, DifferentialFluorodeoxyglucose F18HumansFluorodeoxyglucose F18Automated classification algorithmBrain metabolismDifferential diagnosisMultiple system atrophyParkinson’s diseaseProgressive supranuclear palsy

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.